Active NPI
Safe House Wellness & Health LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Tempe, AZ
National Provider Identifier
1962162529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- SAFE HOUSE WELLNESS & HEALTH LLC
- Practice address
- 1204 E Baseline Rd Ste 206
Tempe, AZ 85283-1453 - Phone
- (202) 807-5522
- NPI assigned
- Dec 23, 2021
- Last updated
- Feb 19, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. King Harrison
- Title
- VP
- Phone
- (202) 807-5522
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
1204 E Baseline Rd Ste 206
Tempe, AZ 85283-1453
Mailing address
3116 S Mill Ave Ste 115
Tempe, AZ 85282-3657
Phone (202) 807-5522
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033359252 | Medicaid | AZ |
National Provider Directory
National Provider Directory- Tax ID family
- Safe House Wellness Health LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinic/Center
- Tempe, AZ
- NPI 1649146622
Locations
1204 E Baseline Rd
Ste 206
Tempe, AZ 85283
Phone (202) 807-5522
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatric/Mental Health Nurse Practitioner
- Mesa, AZ
- NPI 1306618590
-
- Social Worker
- Phoenix, AZ
- NPI 1801217120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640217600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1771459200000",
"number": "1962162529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3116 S MILL AVE STE 115",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852823657",
"telephone_number": "202-807-5522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1204 E BASELINE RD STE 206",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852831453",
"telephone_number": "202-807-5522"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAFE HOUSE WELLNESS & HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-12-23",
"last_updated": "2026-02-19",
"certification_date": "2026-02-19",
"status": "A",
"authorized_official_last_name": "HARRISON",
"authorized_official_first_name": "KING",
"authorized_official_title_or_position": "VP",
"authorized_official_telephone_number": "202-807-5522",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1033359252",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.